NIH-funded research NIH-funded research

Investigating factors that predict celiac disease in infants at risk

Official title: The Celiac Disease Genomic, Environmental, Microbiome, and Metabolomic (CD-GEMM) Prospective Cohort Study

Funded at Massachusetts General Hospital · NIH-10905694 · Data updated 2026-11-12

This study is looking at how the bacteria in the gut and certain substances in the body can help predict if babies at risk for celiac disease will develop a gluten intolerance, so we can find ways to help them stay healthy and avoid problems with gluten later on.

More Celiac Disease research and trials

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital
NIH-funded
Lab location1 site (Boston, United States)
Project startSeptember 1, 2023
Project endAugust 31, 2025
Funding year2023
Award (this year)$822,642
NIH project number1R56AI169645-01A1
Project IDNIH-10905694 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates for this research are infants who are genetically at risk for celiac disease, particularly those with HLA DQ2 or DQ8 genes.

Less likely to help

Patients who are not genetically predisposed to celiac disease or who are already diagnosed with the condition may not benefit from this research.

What this research studies

This research aims to identify specific gut microbiota and metabolomic profiles that can predict the loss of tolerance to gluten in infants who are genetically predisposed to celiac disease. By studying a cohort of infants at risk, the researchers will compare the microbiome and metabolic profiles of those who develop celiac disease with those who do not. The goal is to implement early preventive interventions that could help re-establish tolerance to gluten and prevent the onset of autoimmune responses. This multidisciplinary approach combines genetics, microbiology, and immunology to better understand the triggers of celiac disease.

Why it matters

Potential benefit: If successful, this research could lead to early interventions that prevent the development of celiac disease in at-risk infants.

How similar studies have gone: Previous research has shown promise in understanding the role of microbiota and metabolic profiles in autoimmune diseases, suggesting that this approach could yield significant insights.

Where this research is happening

  • Massachusetts General Hospital
    Boston, United States
    Active

Researchers

  • Principal investigator: Fasano, Alessio — Massachusetts General Hospital
  • Study coordinator: Fasano, Alessio

Related research

Other NIH-funded projects on the same topics.

  • Understanding how immune cells interact in celiac disease to guide healing

    A study from the University of Chicago will follow people with celiac disease to understand how immune cells in the gut contribute to damage or healing when gluten is present or restricted.

    NIH research University of Chicago · Chicago, United States · NIH-11465673

  • NanoDiscs: a new way to calm the immune system in celiac disease

    A new, protein-like particle called NanoDiscs is being developed to deliver safe targets to the immune system in people with celiac disease, with the goal of reducing reactions to gluten.

    NIH research Evoq Therapeutics, INC. · Ann Arbor, United States · NIH-11418898

  • Tissue damage and healing in Celiac Disease

    A broad study at the University of Chicago is exploring why some people with celiac disease keep having symptoms and tissue damage even when they try to follow a gluten-free diet.

    NIH research University of Chicago · Chicago, United States · NIH-11392285

  • Gluten-detection devices and telemedicine to help adults with celiac disease

    This project looks at whether using portable gluten sensors and urine gluten tests together with telemedicine can help adults with celiac disease stick to a gluten-free diet and feel better.

    NIH research Columbia University Health Sciences · New York, United States · NIH-11370961

  • Gluten-sensing tech to help manage celiac disease with telemedicine

    A study tests new gluten-detection tools used with online care to help adults with celiac disease manage their condition.

    NIH research Columbia University Health Sciences · New York, United States · NIH-11370183

  • Role of Transglutaminase 2 in Celiac Disease

    A study from Stanford aims to understand how a specific enzyme, TG2, contributes to celiac disease and to test a potential gut-focused treatment that could one day help people avoid dietary controls.

    NIH research Stanford University · Stanford, United States · NIH-11365566

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.